| NPI | 1942534987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABAN AZAR FARR Medical Director 818-360-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A32840) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |